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At least 361 records · Page 20Linked to original sources
PubMed2005

[Esthetic augmentation using connective tissue and bone graft harvested from implantation bed].

PURPOSE: To describe a surgical method of using connective tissue graft and bone graft harvested from implantation bed to restore the labial contour. METHODS: 102 ITI system implants were placed in 55 anterior maxilla, with connective tissue graft and bone graft harvested from implantation bed simultaneously. Suprastructure restorations were performed at least 6 weeks later, and the change of the labial contour was evaluated. RESULTS: The labial contour was greatly improved, and the esthetics around the implants were enhanced. CONCLUSIONS: Using free connective tissue and bone graft harvested from implantation bed could achieve an esthetic outcome. It is cost-effective and deserves popularization. Supported by Research Fund (No.034119872) of Science and Technology Commission of Shanghai Municipality.

Alveolar Ridge Augmentation↗
PubMed2005

Platform switching as a means to achieving implant esthetics.

This article discusses the literature related to the dynamics that are in effect when an implant is placed in bone. Osseous and soft tissue changes can result subsequent to implant placement. These changes will determine the esthetic outcome. A technique will be presented to limit both osseous and soft tissue changes, thereby creating a predictable esthetic result.

Adult↗
PubMed2005

Conservative adjunct to esthetic orthodontic treatment in young patients.

The esthetic effect of orthodontic treatment in young patients may sometimes be incomplete without performing additional procedures related to the form and texture of the anterior teeth. Six young patients, aged 7 to 21 years, presented for orthodontic treatment to improve their dental esthetics. The problems of tooth staining, mutilation, congenitally missing teeth, tooth size/arch length discrepancy, and sequellae of dental trauma neccessitated a combined orthodontic-prosthodontic treatment. Changing morphology and texture by conservative prosthetic procedures proved to be a successful complement to orthodontic treatment.

Adolescent↗
PubMed2006

Rehabilitation of failing dentition with immediate denture prostheses: technique for a predictable esthetic and functional outcome.

The goal of this article is to describe the clinical and laboratory procedures used in the fabrication of immediate complete and removable partial denture prostheses. In this type of treatment, achieving optimal esthetic and functional outcomes is complicated because of the absence of the try-in stage. To overcome this limitation, a technique that predictably transfers the information obtained during esthetic dentofacial analysis from the patient to the laboratory in the form of an incisal-occlusal plane guide is described. Stability, support, and retention of the immediate partial denture prosthesis can be improved with the incorporation of cast clasp assemblies, and its fabrication technique is presented in this article.

Adult↗
PubMed2006

[Anterior teeth esthetics with the SPI implant system].

Replacement of maxillary front teeth with a fixed, implant supported partial denture with a high laugh line is a demanding procedure. For an optimal esthetic result, no deficiency of bone or soft tissue is acceptable. Submerged implant healing has often been recommended for better predictability in esthetically demanding situations. This case report shows the rehabilitation with a fixed implant supported reconstruction in the upper front and a single implant supported crown in the premolar region. Teeth had to be extracted because of apical lesions, periodontal the gingiva. The technique of delayed, submerged implant placement in the region of 11, 21 and 22 was applied and in the region of 15 a transmucosal implant healing. With a fixed, implant supported partial denture the mucosa in the upper front was conditioned. Ten months after implantation the definitive screwed, fixed partial denture on SPI ELEMENT implants was successfully integrated. In the region 15 a single crown transversally screwed was fixed on a SPI ONE TIME implant. Radiographic data two years after implantation showed a well established periimplant crestal bone level. No prosthetic complications had occurred since the insertion of the reconstruction twelve months ago.

Crowns↗
PubMed2006

Minimally invasive extraction and immediate implant placement: the preservation of esthetics.

Extraction sites in the esthetic zone present an obvious restorative challenge. This case report describes a surgical technique for the preservation of anterior esthetics that combines minimally invasive extraction with immediate implant placement. This single-stage approach preserves site morphology by protecting and supporting existing hard and soft tissues. Clinical success appears to be attributable to several important features of the technique. The first step involves the elevation, luxation, and extraction of the tooth using either a flapless or minimally invasive approach that reduces trauma to the adjacent tissues. The second step involves appropriate orientation, placement, and stabilization of the implant to preserve facial bone and soft tissue contours. Implant placement is accomplished using particulate freeze-dried bone allograft and enamel matrix derivative to achieve ridge preservation and bone augmentation. The composite graft material is considered critical for predictably resolving osseous voids and promoting implant integration, and consideration is given to the concept of osteogenic "jumping distance" between the implant and the eccentric walls of the alveolus. Finally, preservation of the soft tissue architecture during wound healing is achieved by placement of either a fixed or removable restoration. Consistent implant integration and preservation of the hard and soft tissue complexes have been achieved using this approach.

Adult↗
PubMed2006

Replacement of a fractured upper central incisor with an implant-supported crown: a step-by-step approach to achieve acceptable esthetics.

Implant-supported restorations in the upper anterior segment need to meet biological, functional, and esthetic requirements to be successful. Bone availability and soft-tissue characteristics in the area of implant placement are crucial for achieving maximum success. This article describes the steps involved in replacing a fractured upper central incisor with an implant-supported crown. Using surgical techniques involving extraction socket preservation/augmentation and connective tissue grafting, ideal positioning of the implant was possible and gingival contours were idealized. With this multiple step treatment, the final restoration met biological and functional requirements and its esthetic results were maximized.

Bone Matrix↗
PubMed2006

[Principles of patients selection to esthetic plastic surgical clinic].

The original principles of patients selection for esthetic operations performation are presented. Formalized card of registration of medical information that permit to estimate individual peculiarities of any patient is proposed. Presence of functional and organic disturbances in patients show the need of reviewing of present statement that esthetic interventions are performed in healthy patients.

Adult↗
PubMed1991

Soft-tissue considerations in esthetic dentistry.

The marriage of periodontics with esthetic/restorative dentistry, or the "perio-esthetic connection," may be the most critical interdisciplinary relationship in contemporary dental practice. The foundation provided by healthy, well-contoured, biologically sound, symmetrical supporting tissues significantly enhances the cosmetic and functional value of restorative and prosthetic reconstruction. Conversely, the finest restorative fabrication can be markedly diminished by unhealthy, poorly maintained gingival and periodontal tissues. The remarkable advances in the materials sciences have enabled us to restore the dentition to natural function and appearance, but, as with a portrait, the esthetic results are either enhanced or diminished by the boundaries of the frame. This paper focuses on the marginal and attached gingival tissues and the relationship of the lip line, without delving into the various surgical modalities currently available.

Dentures↗
PubMed1991

Ridge augmentation to enhance esthetics in fixed prosthetic treatment.

There are a number of periodontal plastic surgery procedures that can be used to reconstruct deformed, partially edentulous ridges in order to enhance dentofacial esthetics in fixed prosthetic treatment. The preprosthetic-presurgical phase of treatment planning is critical to a successful overall result. The information gained at this stage of treatment governs the techniques that should be used and the integration and staging of events in therapy. Four case reports are presented to illustrate successful management of different types of esthetic and prosthetic problems.

Alveolar Ridge Augmentation↗
PubMed1990

The evolution of dental esthetics.

Dental esthetics has been based for a long time, on time-honoured theories where the restored or replaced teeth had to match the face shape while providing due respect to the sex, the age and the personality of the patient. Most of these theories have since been disproved and the standards of dental esthetics have been revised following surveys of naturally perfect smiles and patients' preferences. Guidelines are presented in a sequence of 5 easily applicable steps with the objective of creating the right smile for the right patient.

Adolescent↗
PubMedDate not supplied

[Selection of the approach to the TMJ under esthetic aspects].

The esthetic results of 128 TMJ surgeries are reported. 81 TMJs were treated via the preauricular, 47 via the retroauricular approach. The preauricular approach with a curved or modified line of incision is characterized by an almost unnoticeable scar, particularly if the incision is placed into a preauricular crease or pit. Leaving the scar in an invisible area, the retroauricular approach is esthetically superior to all other procedures. Both approaches involve a minimum risk for complications, if the correct technique avoiding traumatization of the marginal branch of the facial nerve is used. Considerations related to the choice of the different approaches are discussed with respect to their characteristic features.

Adolescent↗
PubMedDate not supplied

Esthetic modification of cast dental-ceramic restorations.

The advantages and disadvantages of conventional opaque substructures (eg, metal ceramic restorations) used for creating esthetic complete crown restorations are reviewed, and the esthetic advantages of veneering a translucent crown (Dicor) are considered. An appropriate aluminous veneering porcelain was identified (Vitadur Veneer). This veneer porcelain was chosen to match the thermal coefficient of expansion of the cast glass-ceramic substructure. A flexural strength study was then completed and it showed no difference in the strength of the veneered and nonveneered translucent cast glass-ceramic specimens. Scanning electron microscopy revealed that the interface between the porcelain veneer and cast glass-ceramic substructure had no visible porosity and resulted in a continuous-appearing structure. Potential coping designs, as well as the clinical applications and ramifications of this modified crown, are discussed.

Aluminum Oxide↗
PubMed1990

Esthetics with glass-ionomer cements and the "sandwich" technique.

The Type II restorative esthetic glass-ionomer cement has not been generally regarded as a useful esthetic restorative. However, as long as its relatively slow-setting chemistry is understood and accepted and provision is made to maintain the water balance for the first 24 hours, it can be just as useful as composite resin. Taking into account the fluoride release, its tissue compatibility, and the chemical union with underlying tooth structure that is available, it is suggested that it has a valuable place in restorative routines. Manufacturers have been encouraged recently to try to produce a fast-setting cement that can be polished at the insertion appointment. A varnish to seal newly placed restorations is supplied by most manufacturers, but these are not completely waterproof. A low-viscosity, single-component, light-activated resin bonding agent has been shown to work satisfactorily as a sealant, and, with its use, it is possible to develop adequate translucency and optimal physical properties in the oral cavity.

Adult↗
PubMed1989

[Poor esthetic results after conservative treatment of breast cancer. Technics of partial breast reconstruction].

A wide consensus exists today in favour of breast saving procedures for the surgical treatment of small breast cancers. The goal of conservative treatment is to preserve the shape of the breast and consequently to avoid the psychological consequences of the mutilation. In this respect, the final esthetic evaluation of conservative treatment is a major point to be considered after the oncological results. To evaluate these cosmetic results, 89 patients treated more than five years ago were analyzed on a standard picture protocol and rated according to a rigorous scale previously defined. In this group, 45% were rated as excellent, 34% as fair and 21% as poor. These results were compared to the cosmetic results of a second group of patients evaluated after the surgical stage of their conservative treatment in order to precise the morphological damage due to the surgical procedure. In the second group, 73% were rated as excellent, 20% as fair and 7% as poor. This study underlines the frequency of skin contractions (16%) and glandular defects (20%). Several rules are proposed to prevent such sequelae at the time of the tumorectomy. The difficulty of cosmetic improvement of the poor esthetic results is emphasized and the techniques of partial reconstructions are discussed in the light of our experience which includes 25 cases of partial reconstruction.

Breast↗
PubMed1989

[A study of esthetic harmony and balance of the facial soft tissue].

Esthetics and harmony of the human body have been for ages sources of research and inspiration for scientists and artists. The face affects the appearance and determines, in a way, the limits in the evaluation of beauty influenced by various psychological, environmental or other factors. There are some studies dealing with facial proportions in which researchers are trying to establish some mathematic norms for the evaluation of the "esthetic face". In this paper, a study of some facial proportions is carried out, in photographs of female faces with three different expressions, seriousness, relaxed position and smile. Our findings show that smiling faces are significantly different from serious and relaxed faces in most of the proportions studied. The "Golden proportion" was closer to the proportions of the serious and relaxed faces than to the proportions of the smiling ones.

Cephalometry↗
PubMed1989

[Skeletal deep bite and esthetics].

The patient who present a deep bite pattern with a low FMA angle have contradictional functional and esthetic objectives. The cephalometric alarm signs help the clinician to locate the esthetic risks.

Adolescent↗
PubMed1989

Esthetic treatment of anterior teeth. Technique choices.

The esthetic treatments of anterior teeth offer a variety of challenges. The dentist's artistic talents, understanding of the principles of esthetics and color are key points in planning and performing a successful treatment. The availability of different modalities of treatment should help provide the patient's needs and expectations. A thorough knowledge of the advantages and limitations of each treatment modality, and each clinical situation, should help in making appropriate treatment decisions.

Cuspid↗